| NPI | 1619853660 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 069984-23) | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NH 069984-23) | 
| Enumeration Date | 2025-08-14 | 
| Last Update Date | 2025-08-14 |